Discusión entre pares / 13 years old male with distal radial # is this reduction accepted

Indian-Orthopaedic Research-Group

 Saad Mohammad Saad



13 years old male with distal radial # is this reduction accepted





Rudy Kwang yes it is acceptable. the deformity after reduction is still acceptable because it is still in plane with the wrist motion, it will remodell over time.
7 horas · Me gusta · 1


Dr-Ahmed Aboelazm lat view show dorsal disp.
it will remodel but ... parents should be informed that some residual deformity will be ...and some difficult and loss in wrist flection !!!!
but better from 1st day .k.w fixation
وريح دماغك من الصداع
7 horas · Me gusta


Rudy Kwang Dr-Ahmed Aboelazm for 13 years old, this residual deformity will be remodelled over time because its in the plane of wrist range of motion. k wire fixation is overtreatment in my opinion
7 horas · Me gusta · 1


Dr-Ahmed Aboelazm yes sir that what i mean , but it will take time ,so parents shoud be open minded for this
or dr. will thrown from window
7 horas · Editado · Me gusta · 1


Osama Sami Alkayar Up to 15 years 10 degree acceptable, for this case the angle is accepted.
There is more than 50% of width of bone tilting.
You must to fallow up with x.ray.
otherwise until now it is accepted but still ORIF butter.
6 horas · Me gusta


Osama Sami Alkayar

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Onkar Sudame These fractures are notorious to redisplacement because of brachioradialis pull. Get check xrays weekly for next 2-3 weeks
6 horas · Me gusta · 2


Osama Sami Alkayar That is right Dr.Onkar Sudame.
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Rudy Kwang i have a different opinion. this kind of fracture in young children, in which the periosteum is thick, risk of loss of reduction/redisplacement isnt as big as in adults. this fracture is very stable, and non operative treatment with closed reduction and cast is sufficient. after 3 or 4 weeks it will unite.
6 horas · Me gusta


Rustom Adi Mody No
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Kyaw Kyaw Khaing There's still dorsal step ,may be due to inadequate disimpaction, and displacement may go on when swelling subside be coz of no three point stabilization seen in POP,
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Ayman Mostafa K wire under c arm and get better reduction
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Kareem Saeed According to the acceptable reduction criteria of closed management which say that from 10-12 ys of age a less than 10 degrees angulation is acceptable and above that age a zero degree is acceptable, this is unacceptable . The only resource that advocate this x ray will be Campbell which accept a 10 degrees dorsal tilt even in adults
1 hora · Me gusta


Ahmad Issa CRPP
Remodeling is not reliable in such age where there is less than 2 years remaining for closure
And the other advantage is that you avoid the risk of displacement
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